This announced inspection was conducted on 25 June 2018. We gave two days’ notice of our intention to carry out this inspection as it is a small service and the people who live there are regularly out in the wider community. Juga Homes Ltd is registered to accommodate two people with mental health needs and the service was at full occupancy at the time of the inspection. The service consists of an ordinary two storey domestic property and a single storey small building in the rear garden. One of the bedrooms is in the main house and has en-suite facilities. The second bedroom is in the single storey small building, which also has a bathroom and a kitchenette. The main house also contains a lounge with a dining area, a kitchen, a downstairs bathroom and an upstairs toilet. The staff office is situated in a newly built chalet unit in the rear garden.

Juga Homes Ltd is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection. This service was inspected for the first time on 31 July 2017, following its registration in January 2016. We did not rate Juga Homes Ltd because at the time of the inspection people had been living at the care home for a short time, therefore we had not been able to gather sufficient information to determine how the provider would meet people’s needs over a longer period.

There was a registered manager in post, who was present during the inspection visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager is the proprietor of Juga Homes Ltd and is therefore also the ‘registered individual’ for the service.

At the previous inspection we had found that the registered manager had not always ensured that references had been obtained from the most recent employer and had been verified to ensure authenticity. At this inspection the personnel records we looked at demonstrated that the registered manager had implemented a thorough approach to the recruitment process, which ensured that people who used the service were appropriately supported by staff with suitable skills and experience.

Staff had received training to safely administer people’s prescribed medicines and at the time of the inspection were supporting one person with their medicine needs. Although medicines were safely stored and the registered manager routinely checked to ensure that stock balances reconciled with the medicine administration record (MAR) charts, we found that the system for signing MAR charts was not sufficiently detailed for accountability and auditing purposes.

We have made one recommendation within the main report in relation to the provider's system for staff to sign medicine administration charts.

Staff understood how to identify and report any safeguarding concerns, and were aware of how to whistleblow about any issues of concern related to the running of the service. Risk assessments were conducted to ensure people were kept as safe as possible from potential harm.

People were supported by sufficient staff, who had received training and supervision to carry out their roles and responsibilities. The registered manager and staff member we spoke with were familiar with people’s individual needs and knew how to support people to meet their wishes and goals. This included support to access leisure facilities, local amenities and health care services.

People’s dignity and privacy was promoted, and staff supported people to make their own choices. The registered manager and the staff team sought people’s consent before they provided care and support in line w

This announced inspection took place on 31 July 2017. This service has not been rated because at the time of the inspection people had been living at the care home for a short time; therefore we were not in a position to gather sufficient information to determine how the provider would meet people’s needs over a longer period. We gave 48 hours’ notice of our intention to conduct this inspection because the people who use the service are sometimes out in the wider community and we wished to find out their views about living at their home.

Juga Homes Ltd is registered with the Care Quality Commission to provide care and accommodation for up to two people with mental health needs, and the service was at full occupancy at the time of the inspection. The service comprises an ordinary two storey domestic property and a single storey small building located in the rear garden. One of the bedrooms is in the main house and has ensuite facilities, whilst the second bedroom is in the single storey small building and also has a bathroom. The main house contains a lounge with a dining area, a downstairs bathroom, a kitchen and an office. The office was used for administrative purposes but could also be availed of by people who use the service for private meetings with visiting health and social care professionals.

There was a registered manager in post, who was present during the inspection visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager is the proprietor of Juga Homes Ltd and is therefore also the ‘registered individual’ for the service.

There were systems in place to recruit staff with suitable knowledge and experience to work at the service and meet people’s needs. However, we found that the registered manager had not always ensured that references were obtained from the most recent employer and were verified to ensure authenticity.

Staff understood how to identify and report any safeguarding concerns, and were aware of how to whistleblow about any issues of concern related to the running of the service. Risk assessments were conducted to ensure people were kept as safe as possible from potential harm. Medicines were stored and administered appropriately to ensure people’s safety.

People were supported by sufficient staff, who had received training and supervision to carry out their roles and responsibilities. The registered manager was working towards the introduction of an appraisal system although at the time of the inspection staff had been working at the service for approximately two months. The registered manager and staff member we spoke with were familiar with people’s individual needs and knew how to support people to meet their wishes and goals. This included support to access leisure facilities, local amenities and health care services.

People’s dignity and privacy was promoted, and staff supported people to make their own choices. The registered manager and the staff team sought people’s consent before they provided care and support. The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005, Deprivation of Liberty Safeguards (DoLS) and to report upon our findings. DoLS are in place to protect people where they do not have the capacity to make decisions and where it is regarded as necessary to restrict their freedom in some way, to protect themselves or others. The registered manager and staff member at the inspection demonstrated that they understood the legal requirements of MCA.

The quality of the food was described as “good”. People were supported to make choices about the menu and participate in the preparation of meals and snacks.

People’s needs had been assessed by the provider before